title: [Razemon's lateral digital rotation flap in severe Dupuytren contracture of the fifth finger].
abstract: In Dupuytren's disease, correction of severe contracture deformities and excision of dermal lesions are often responsible for palmar skin defects. This study aimed to assess the results of the lateral digital flap described by Razemon. Thirty-seven patients were analysed retrospectively for functional and trophic results. Twelve months of follow-up were at least required. The lack of extension was appreciated through Thomine's coefficient. Subjective patient's opinion was noted about function of fifth finger and hand. The flap trophicity was evaluated through softness, coverage quality and esthetic aspect. In the preoperative period, the average lack of extension was 105°; 89% of the patients were ranked as stages 3 or 4 of Tubiana's classification. At the 12th month, the average Thomine's coefficient was 0.74; 70% of the patients were very satisfied. Two patients exhibited some lack of suppleness and seven a dyschromic scars. The lateral digital rotation flap is a quite simple surgical procedure. It allows satisfactory results corresponding to functional and trophic coverage in severe Dupuytren's contracture involving the fifth finger.
authors.affiliation: Service de chirurgie orthopédique et de traumatologie, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex 1, France. Electronic address: mouradouldslimane@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Ould-Slimane
authors.forename: V
authors.initials: V
authors.lastname: Guinet
authors.forename: E
authors.initials: E
authors.lastname: Foulongne
authors.forename: A
authors.initials: A
authors.lastname: Melconian
authors.forename: R
authors.initials: R
authors.lastname: Beccari
authors.forename: P-Y
authors.initials: PY
authors.lastname: Milliez
authors.forename: I
authors.initials: I
authors.lastname: Auquit-Auckbur
mesh_terms: D000368:Aged; D004387:Dupuytren Contracture / Q000601:surgery*; D005260:Female; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D012189:Retrospective Studies; D012399:Rotation; D012720:Severity of Illness Index; D013524:Surgical Flaps
keywords: Chirurgie de la main; Dupuytren contracture; Extension lag; Flessum; Hand surgery; Lambeaux de couverture; Maladie de Dupuytren; Retrospective study; Surgical flaps; Étude rétrospective